Individual
TERICA MONAY YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12315 PENNSYLVANIA ST, CARMEL, IN 46032-6601
(317) 569-7200
Mailing address
12315 PENNSYLVANIA ST, CARMEL, IN 46032-6601
(317) 569-7200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28235852A
IN
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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